Prior Authorization Specialist - Hybrid Medical Office

Crane Center; West Lake Hills (TX); Híbrido; USD 48 000 - 62 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health, dental, and vision insurance

401(k) with company matching

Career growth and professional develop

Paid time off and holidays

Hybrid position

Resumo da oferta

The Crane Center in Texas is seeking a detail-oriented Prior Authorizations Specialist to manage the prior authorization process for medical services across our clinic network. You will coordinate with healthcare providers, insurance companies, and patients to obtain approvals while maintaining HIPAA-compliant practices.

You will review requests, gather documentation, submit to insurers, and keep meticulous records.

Qualificações

• High school diploma or equivalent is required.
• Minimum of 2 years experience in prior authorizations, medical billing, or related field.
• Proficiency with healthcare management software and Microsoft Office.
• Strong knowledge of insurance policies and HIPAA rules.

Responsabilidades

• Review and process prior authorization requests for medical services.
• Communicate with healthcare providers to gather documentation and information.
• Submit prior authorization requests to insurers and follow up on status.
• Maintain accurate records of all prior authorization activities.
• Provide excellent customer service to patients and providers.
• Stay updated on insurance policies and guidelines to ensure compliance.

Conhecimentos

Attention to detail

Organizational skills

Communication

Interpersonal skills

Teamwork

HIPAA familiarity

Independent work

Formação académica

High School Diploma or equivalent

Ferramentas

Healthcare management software

Microsoft Office Suite

Descrição da oferta de emprego

The Crane Center in Texas is seeking a detail-oriented Prior Authorizations Specialist to manage the prior authorization process for medical services across our clinic network. You will coordinate with healthcare providers, insurance companies, and patients to obtain approvals while maintaining HIPAA-compliant practices.

You will review requests, gather documentation, submit to insurers, and keep meticulous records.